Infertility of tubal origin is the most frequent in sub-Saharan area. It is due to tuboperitoneal lesions\nmainly because of infection; especially sexually transmitted infection. Worldwide, Chlamydia\ntrachomatis is the main pathogen. In our setting, some studies failed to establish the link between\ntubal infertility and chlamydia trachomatis. The current study aimed to determine the local\ndata related to chlamydia trachomatis role in tubal infertility and the usefulness of Chlamydia\ntrachomatis antibody titer test (CAT) in discrimination of the patients with and without tuboperitoneal\nlesions. Patientsâ�� average age was 33.9 �± 4.8 years, average coitarche 19.4 �± 4.4 years and\naverage number of partners: 3.1 �± 1.6. The level of CAT is correlated to the tuboperitoneal severity.\nCAT was more specific (93.3%; CI 95%: 81.7 - 98.6) than sensitive (72.7% CI 95%: 49.8 - 89.3) and\ndiscriminated correctly 89% (AUC = 0.89) of the patients with or without tuboperitoneal lesions.\nIn conclusion, as it is stated worldwide, Chlamydia trachomatis is the most frequent sexually\ntransmitted pathogen associated with tubal infertility. CAT has to be used as a tool to select patients\nto be submitted to invasive investigation, like laparoscopy.
Loading....